Pattern of Heart Valve Involvement in Rheumatic Heart Disease
Journal Title: Nepalese Heart Journal - Year 2009, Vol 6, Issue 1
Abstract
Rheumatic heart disease is the most important consequence of acute rheumatic fever. Both are common cardiovascular problems in Nepal. Echocardiographic detection of rheumatic heart disease is important to establish the diagnosis. The involvement of valves and their severity guides the therapeutic options. A total of 133 valvular heart disease cases attended in Dhulikhel Hospital between July 2008 to June 2009 were analyzed. Fifty-one patients, in whom the problems were rheumatic in origin were studied. Among them, 12% (6) had isolated aortic valve involvement, 35%(18) had isolated mitral valve and 53%(27) ahd mixed involvement. Severe mitral stenosis accounts for 24% of all mitral stenosis and severe aortic stenosis is 20% fo all aortic stenosis. The rates for severe mitral regurgitation and severe aortic regurgitaiton are 30% and 28% respectively. Although the study population has a high number of female patients, the differences in the rates of involvement of aortic or mitral valve in both genders are statistically insignifcant. The study, although small, confrms that in this population, females are more commonly affected, that the mitral valve is the most commonly damaged valve and that disease affecting multiple valves is marginally more common than isolated valve disease. The detection of valvular involvement at different stages can guide the therapeutic options.
Authors and Affiliations
Koju R| Dhulikhel Hospital, Kathmandu University Hospital, Gurung R| Dhulikhel Hospital, Kathmandu University Hospital, Pant P| Dhulikhel Hospital, Kathmandu University Hospital, Pokharel B| Dhulikhel Hospital, Kathmandu University Hospital, Bedi TRS| Dhulikhel Hospital, Kathmandu University Hospital
Keywords
Related Articles
- EP ID EP15662
- DOI -
- Views 466
- Downloads 28
Immediate Outcome of Percutaneous Balloon Mitral Valvotomy in Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal
background and aim: Percutaneous balloon mitral valvotomy is well established as safe and effective procedure for patients with mitral stenosis due to Rheumatic Heart Disease. There are some retrospective studies on...
Outcome of pregnancies in women with prosthetic mechanical heart valves
Background and Aims: Rheumatic heart disease is still prevalent in Nepal. Many young women had to undergo cardiac surgery before or at their childbearing age. Due to teratogenic effect and maternal risk, pregnancy is g...
Contrast induced nephropathy - cardiologist perspective
Use of contrast media for cardiovascular intervention is associated with risk of contrast induced nephropathy. Contrast induced nephropathy is associated with increased morbidity, prolonged hospitalization, potential...
Cardiovascular Professionals for Services Provision in Nepal
Percutaneous Transluminal Mitral Commissurotomy in Nepalese children with Rheumatic Mitral Stenosis
background: Rheumatic heart disease is one of the most common heart diseases in developing country; however rheumatic mitral stenosis in children is relatively rare. Percutaneous transluminal mitral commissurotomy is...